Gynecology . s, and mucus. dition owing to the denudation resulting from the separation of the placenta,the patency of the cervix, and the general vascularity of the parts. The organ-isms which most commonly attack the endometrium at this time are the strepto-coccus, the staphylococcus, and the latent gonococcus. The inflammatory proc-ess may remain localized in the endometrium or it may extend deeply into the GENERAL INFLAMMATORY PROCESSES 203 muscular wall of the uterus. It may spread to the pelvic cavity and cause aperitonitis either by extension through the tubes or through the lymph-space
Gynecology . s, and mucus. dition owing to the denudation resulting from the separation of the placenta,the patency of the cervix, and the general vascularity of the parts. The organ-isms which most commonly attack the endometrium at this time are the strepto-coccus, the staphylococcus, and the latent gonococcus. The inflammatory proc-ess may remain localized in the endometrium or it may extend deeply into the GENERAL INFLAMMATORY PROCESSES 203 muscular wall of the uterus. It may spread to the pelvic cavity and cause aperitonitis either by extension through the tubes or through the lymph-spacesof the uterine wall to the parametrium. Infectious endometritis may result from gonorrhea. The most serious formsof gonorrheal endometritis are caused by the lighting up by the puerperium of alatent gonorrhea. Under these circumstances the endometrium does notpossess its normal immunity to the gonococcus, and the infection may be severeand dangerous. This invasion of the gonococcus accounts for many cases of. Fig. 57.—Chronic Interstitial power. This section is stained to show the plasma cells which are found in chronic in-flammatory conditions, and are important in this special disease because their presence in largenumbers makes the diagnosis more certain. They are characterized by their large size and theexcentrically placed nucleus. puerperal sepsis, the later results of which are manifested by chronic inflam-mation and one-child sterility. Outside of the puerperal state infectious endometritis is astonishingly un-common. Routine curetings, removed for diagnosis in vaginal operations, andthe cases of pelvic inflammation requiring hysterectomy supply ample materialfor the microscopic study of the endometrium. The percentage of true infectiousendometritis is very small, while evidences of acute purulent inflammation arerare. 204 GYNECOLOGY Treatment.—Acute infectious endometritis, outside of puerperal sepsis, isnot a disease requiring specific treatment
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